医学教育管理 ›› 2025, Vol. 11 ›› Issue (3): 328-334.doi: 10.3969/j.issn.2096-045X.2025.03.013

• 临床教学 • 上一篇    下一篇

临床导师指导下的贯通式诊断学课程教学改革探索与实践

张恒12 , 王博1 , 汪艳2 , 杜纯艳3 , 谭景元3 , 张文勇1 , 王凌伟12*   

  1. 1.南方科技大学医学院,深圳 518055; 2.深圳市人民医院/暨南大学第二临床医学院/深圳市呼吸疾病研究所呼吸与危重症医学科,深圳 518020; 3.深圳市人民医院/暨南大学第二临床医学院科研教学部,深圳 518020
  • 收稿日期:2024-11-06 出版日期:2025-06-20 发布日期:2025-07-25
  • 通讯作者: 王凌伟 E-mail:limey@sina.com
  • 基金资助:
    1.2020年度广东省高等教育教学改革项目:临床导师指导下的逆向回顾性诊断学教学模式的研究和实践(SJJG202003);2.2021年暨南大学医学部一流本科/研究生课程培育专项:二阶螺旋式诊断学教学模式的新探索(2021YXKC017)

Exploration and practice of continuous diagnostic teaching reform under the guidance of clinical mentors

Zhang Heng1, 2, Wang Bo1, Wang Yan2, Du Chunyan3, Tan Jingyuan3, Zhang Wenyong1, Wang Lingwei1, 2* #br#   

  1. 1. School of Medicine, Southern University of Science and Technology, Shenzhen 518055, China; 2. Department of Respiratory and Critical Care Medicine, Shenzhen People's Hospital/The Second Clinical Medical College, Jinan University, Shenzhen 518020, China; 3. Department of Research and Teaching, Shenzhen People's Hospital/The Second Clinical Medical College, Jinan University, Shenzhen 518020, China
  • Received:2024-11-06 Online:2025-06-20 Published:2025-07-25

摘要: 目的 探讨通过建立临床导师制度,实现医科院校大学三年级至大学五年级的贯通指导式诊断学教学模式,打破课程壁垒,提高诊断学教学水平。方法 选取在深圳市人民医院实习的2018级和2019级临床医学本科生为教学改革实施对象,设置临床导师制一对一指导、进入临床后再次回顾诊断学内容、开展形式多样的小讲座和临床实践课程等多种方式。通过对学生的问卷调查、访谈等形式评估项目效果,了解学生学习情况及成果。结果 问卷调查结果显示大多数学生认可临床导师指导下的贯通式诊断学教学,认为有助于增加临床实践机会、调动学习的积极性及指导未来学习方向。有助于培养查阅医学文献的习惯及课后与教师的互动交流。结论 临床导师指导下的贯通式诊断学教学模式提高了学生的积极性,增加了临床实践的机会,有助于学生早期进入临床,对培养临床思维有正面作用。

关键词: 诊断学, 临床导师制, 本科生导师制

Abstract: Objective To explore the establishment of clinical mentor system to realize the continues diagnostic teaching model from the junior year to the graduation year, break the curriculum barriers and improve diagnostic teaching level.Methods Medical undergraduates from Grades 2018 and 2019 studying at Shenzhen People's Hospital were selected as the subjects for the teaching reform. Various methods were implemented, including one-on-one clinical mentor system for guidance, reviewing diagnostic content after entering clinical practice, conducting diverse mini-lectures and clinical practice courses. The effectiveness of the project was evaluated through student questionnaires, interviews, and other forms to understand students' learning situations and achievements.Results The survey results showed that most students recognized the value of continuous diagnostic teaching under the guidance of clinical mentors. Students thought that it was helpful to increase clinical practice opportunities, motivate learning enthusiasm, guide future learning direction, cultivate the habit of reading medical literature and the interaction with teachers after class.Conclusion The diagnostic teaching model guided by clinical mentors promotes diagnostic teaching for medical undergraduates, stimulates their learning enthusiasm, increases opportunities for clinical practice, helps students enter clinical practice early, and has a positive significance in cultivating clinical thinking.

Key words:

diagnostics,  clinical mentor system, undergraduate mentor system

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